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Nursing Anaphy Lec Session #19 - Sas (New Format)
Nursing Anaphy Lec Session #19 - Sas (New Format)
B. MAIN LESSON
You must read & study the concepts and refer to figures/tables in Chapter 15 of the book.
Anatomical Dead Space – area in respiratory passageways where gas exchange between air & blood
does not occur.
Gas Transport in the Blood: Carbon Dioxide & Blood pH (See Process figure 15.14)
▪ In lung capillaries, process is reversed: H+ + HCO3- = H2CO3 (forming H2O & CO2)
▪ As the CO2 increases, the blood pH decreases and vice versa.
Rhythmic Breathing
✔ 12-20 bpm – normal rate of breathing in adults
✔ 20-40 bpm – normal rate of breathing in children
✔ Respiratory areas are controlled within the medullary respiratory centers, consisting of:
▪ two dorsal respiratory groups – stimulate contractions of diaphragm
▪ two ventral respiratory groups – stimulate the intercostal & abdominal muscles
o Pre-BÖtzinger Complex – known to establish the basic rhythm of breathing.
▪ pontine respiratory group – collection of neurons in pons & play a role in switching
between inspiration & expiration.
Condition Description
Sinusitis inflammation of mucous membrane of sinus; one or more paranasal sinuses
Laryngitis inflammation of mucous epithelium of vocal folds
Pertussis / Whooping bacterial infection of tracheobronchial tree caused by Bordetella Pertussis; highly
Cough contagious & can be prevented by vaccination
Hyaline Membrane Disease known as Infant Respiratory Distress Syndrome (IRDS); caused by too little surfactant
introduction of air into the pleural cavity, the space between the parietal & visceral
Pneumothorax
pleura that normally contains only pleural fluid
characterized by abnormally increased constriction of trachea & bronchi in response
Asthma
to various stimuli, which decrease ventilation efficiency
For the listed conditions below, refer to Table 15.2, page 432 of the book for description:
▪ Respiratory Disorders (Bronchitis, Emphysema, ARDS, Cystic Fibrosis & Lung Cancer)
▪ Thrombosis of Pulmonary Arteries
▪ Sudden Infant Death Syndrome (SIDS)
▪ Upper Respiratory Tract Infections (Strep Throat & Common Cold)
▪ Lower Respiratory Tract Infections (Tuberculosis, Pneumonia & Flu / Influenza)
You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be
given to the correct answer and another one (1) point for the correct ratio. Superimpositions or erasures in
your answer/ratio is not allowed. You are given 20 minutes for this activity.
Multiple Choice
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6. The factors that affect the rate of alveolar diffusion include: (Select all that apply)
a. Solubility of gas
b. Reactivity of gas
c. Thickness of membrane
d. Concentration gradient
ANSWER: ________
RATIO:______________________________________________________________________________
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9. The ranking from highest to lowest PO2 in the area of the arterial ends of the tissue capillaries is:
a. capillaries, tissue fluid, cells.
b. cells, tissue fluid, capillaries.
c. cells, capillaries, tissue fluid.
d. tissue fluid, capillaries, cells.
e. all three are equal.
ANSWER: ________
RATIO:______________________________________________________________________________
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10. Pepper has been assigned to the general ward. Upon reviewing the patient’s record, which of the
following body’s responses is a manifestation of lack of oxygen to the brain?
a. Gasping of air
b. Depressed
c. Sleepy
d. Hyperactive
ANSWER: ________
RATIO:______________________________________________________________________________
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C. LESSON WRAP-UP
This strategy provides feedback on whether or not you understand the lesson. You may use the space
below in this activity sheet to answer the following questions:
1. What was the most useful or the most meaningful thing you learned this session?
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